OSCEs Parlamentariske Forsamling 2018-19 (1. samling)
OSCE Alm.del Bilag 21
Offentligt
Early election of the President of the Republic of Kazakhstan
9 June 2019
APPLICATION FORM
for an observer of foreign state and international organization
Surname _______________________________________________________________________
Given names ___________________________________________________________________
Date of birth _______________________________________________ Sex
Male
Female
Passport No. ________________________ Date of issue _______________________________
Issued by ______________________________________________________________________
Place of work ___________________________________________________________________
______________________________________________________________________________
Position _______________________________________________________________________
Country / international organization, which you represent
OSCE Parliamentary Assembly
______
Citizenship _____________________________________________________________________
Will you observe elections within the framework of international mission?
X
Yes
No
If yes, please specify the name of international mission
OSCE Parliamentary Assembly
_______
______________________________________________________________________________
Election observation experience (country, year) ________________________________________
______________________________________________________________________________
______________________________________________________________________________
Telephone ________________ Mobile phone____________________ Fax ___________________
E-mail __________________________________________________________________________
Date of arrival to the Republic of Kazakhstan __________________________________________
Date of departure from the Republic of Kazakhstan _____________________________________
Signature ______________________
Date ___ ______________